Individual
JASON EPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5909 W STATE ST, BOISE, ID 83703-3039
(208) 343-7700
Mailing address
1805 E OVERLAND RD, MERIDIAN, ID 83642-7010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-442
ID
Other
Enumeration date
05/26/2018
Last updated
05/26/2018
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